1. The third Scottish National Dementia Strategy
Amy Dalrymple, Head of Policy, Alzheimer Scotland
Scottish Care annual conference
10 May 2017

2. Developing the Strategy
Dialogue events – winter 2015
(Hiatus – 2016 Scottish Election)
Proposal – published spring 2016
‘Expert Group’ – autumn/winter 2016
Scottish Government writing furiously – spring 2017
(More electoral hiatus – local elections and now Westminster General Election)
Publication – now scheduled for June 2017!
[from GH]: Proposal published 2016 along with analysis report of the dementia dialogue process – showed top concerns: more Link Workers needed, difficulty of implementing integrated home care despite obvious benefits, anticipatory care as key to good palliative and end of life care, workforce training opportunities should be more flexible, family members should be allowed to stay with loved one in hospital throughout stay, reduce staff turnover in care homes through better renumeration and career progression

3. What will be in the Strategy?
Diagnosis
Post diagnostic support
Integrated care at home
Palliative and end of life care
Quality in all care settings
Recognition and support for family carers
Dementia friendly communities
Improvement support and workforce development
Diagnosis – done better, people in control, done early enough for care planning
PDS – person-centredness/flexibility – higher demand ref incidence report Jan 17, but as prevalence remaining more stable, indicates people are getting diagnosed nearer the end of their lives – older, possibly in receipt of other services including residential care. Also 3 primary care test sites – Nithsdale, Shetland and North East Edinburgh
Integrated care at home – build on 8 pillars, link to SG Integration objectives
PEOLC – link to SG SFA work, testing ADPM. Geoff keen on advance planning. (PEOLC now in integration team along with dementia, at SG). Workforce devt.
Carers
DFCs
Improvement – FoD and linked HIS programmes

6. Alzheimer Scotland 8 Pillars Model of Community Support

7. Alzheimer Scotland Advanced Dementia Practice Model
Based on the 8 pillars

8. Key issues Biopsychosocial approach Continuity of care and support
Support for those providing day-to-day care
Integrated provision
Valuing contribution of all interventions
Integration requires valuing contribution of each ‘service’.

9. What needs to happen to make this happen?
National bodies support it – how do we get it done?!